Journal of Musculoskeletal Trauma

Original Articles

Severe Comminuted and Displaced Patellar Fracture Treated by Partial or Total Patellectomy: Kuen Tak Suh, Taek Geon Lee, Weon Wook Park, Chong Il Yoo, Kyu Yeol Lee, Bu Hwan Kim; J Korean Soc Fract 1997;10(4):851-859. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.851

Abstract PDF: The results of partial and total patellectomy as a treatment for severe comminuted and displaced patellar fracture were assessed retrospectively with the use of clinical criteria and radiologic findings. Sixteen patients treated with patellectomy(four total and twelve partial patellectomies) were followed up for an average of 3 years 4 months and valuated. According to the Bostmans fracture classification, there were type I In 5 cases(31%), type II in 7 cases(44%), and type III in 4 cases(25%). The results of the patellectomy were relatively good since excellent result was shown in 11(69%) among 16 cases. The comparison between partial and total patellectomy was difficult because the fracture patterns treated by these techniques were different. In this study, the result of the partial patellectomy was better than that of the total patellectomy, but their difference was not statisticaliy significant(P>0.05). The results of the study indicated that partial or total patellectomy could be one of the effective treatment methods for severe comminuted and displaced patellar fracture. However total patellectomy should be recommended only when the entire patella was too severely comminuted to function as a part of the extensor mechanism of the knee.

Clinical Investigation of the Comminuted Patellar Fracture: Chang Ju Lee, Won Ho Cho, Ho Guen Chang, Yoo Geun Ju; J Korean Soc Fract 1990;3(2):209-215. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.209

Abstract PDF: The authors report a clinical experience of 12 cases having comminuted patellar fracture who were treated with modified tension band wiring or partial patellectomy from January 1985 to Oecember 1989 at the department of Orthopedic Surgery, Hallym University Hangang Sacred Heart Hospital. The results were as follows 1. All cases caused by direct blow. 2. Mean immobilization period was 5 weeks in modified tension band wiring, mean immobilixation was 3.3 weeks in partial patellectomy. 3. Range of motion of knee joint was 3-123 in modified tension band wiring, range of motion of knee joint was 5" -110" in partial patellectomy. 4. Quadriceps muscle weakness was developed in all of 2 cases of partial fatellectomy. 5. Extension lag of knee joint was developed in 1 case of partial patellectomy. 6. The result of modified tension band wiring was much better than partial patellectomy in comminuted patellar fracture.

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